Evidence map›Paper›PMID 32411946›Full record

ArticleGates open research2020

Evaluation of a behavior-centered design strategy for creating demand for oral PrEP among young women in Cape Town, South Africa.

Jennifer F Morton, Laura Myers, Katherine Gill, Linda-Gail Bekker, Gabrielle Stein, Katherine K Thomas, Menna Duyver, Ariane van der Straten, Margaret McConnell, Robert Aunger and 5 more

Abstract read
In one paragraph

Article in Gates open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jennifer F MortonDepartment of Global Health, University of Washington, Seattle, USA.ORCID https://orcid.org/0000-0002-3080-6254
Laura MyersDesmond Tutu HIV Centre, Cape Town, South Africa.
Katherine GillDesmond Tutu HIV Centre, Cape Town, South Africa.
Linda-Gail BekkerDesmond Tutu HIV Centre, Cape Town, South Africa.
Gabrielle SteinDepartment of Global Health, University of Washington, Seattle, USA.
Katherine K ThomasDepartment of Global Health, University of Washington, Seattle, USA.
Menna DuyverDesmond Tutu HIV Centre, Cape Town, South Africa.
Ariane van der StratenWomen's Global Health Imperative, RTI International, San Francisco, USA.ORCID https://orcid.org/0000-0001-8536-648X
Margaret McConnellHarvard University, Boston, USA.ORCID https://orcid.org/0000-0002-3437-3249
Robert AungerLondon School of Health and Tropical Medicine, London, UK.
Valerie CurtisLondon School of Health and Tropical Medicine, London, UK.
Jessie de Witt HubertsLondon School of Health and Tropical Medicine, London, UK.
Lut Van DammeBill & Melinda Gates Foundation, Seattle, USA.
Jared M BaetenDepartment of Global Health, University of Washington, Seattle, USA.
Connie CelumDepartment of Global Health, University of Washington, Seattle, USA.ORCID https://orcid.org/0000-0002-8813-3419

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Design and delivery of combination HIV prevention in young South African womenR01MH107251 · NIMH · DESMOND TUTU HIV FOUNDATION · PI BEKKER, LINDA-GAIL GAIL, CELUM, CONNIE L · 2015 to 2018
$2.0M
NIMH NIH HHS P30 MH062246NIMH NIH HHS R01 MH107251
6 · The paper itself

Abstract

backgroundThere is an urgent need to find effective interventions that reduce young South African women's vulnerability to HIV, and pre-exposure prophylaxis (PrEP) is highly effective when taken consistently. As national programs in Africa launch PrEP programs for young women, it is critical to understand how to effectively create awareness, stimulate interest, and increase uptake of PrEP.

methodsBehavior-centered design (BCD) guided the development of a PrEP social marketing campaign for young women. Ethnographic observations, in-depth interviews, and focus-group discussions with young South African women informed the content and design of a 90-second PrEP demand creation video and two informational brochures. A short survey was administered to young women at their homes after watching a video to evaluate PrEP interest. Of 800 households with a 16-25-year-old female identified from a Cape Town township census, 320 women in these households viewed the video and completed a survey about the video and their interest in PrEP.

resultsIn focus groups, young women from the township preferred local characters and messaging that was empowering, simple, and motivational. From the household survey of young women who viewed the video, most reported interest in learning more about PrEP (67.7% 'definitely interested' and 9.4% 'somewhat interested') and taking PrEP (56.4% 'definitely interested' and 12.5% 'somewhat interested'). Factors significantly associated with interest in taking PrEP were having a primary partner with whom they regularly have sex (80.0% vs. 65.2% without a primary partner; adjusted odds ratio (AOR)=3.1, 95% CI: 1.3, 7.0) and being in a sexual partnership for <6 months (86.8% vs. 68.5% for >12 months; AOR=3.0, 95% CI: 1.2, 7.3).

conclusionsA positively framed PrEP demand creation video generated high interest in PrEP among young South African women, particularly among women with a primary partner and a shorter-term relationship.

Indexed as

AfricaHIV preventionpre-exposure prophylaxisyoung women

Identifiers

PMID32411946
PMCPMC7196718

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.